- CVS Health (Frankfort, KY)
- …of 3 years managing/leading a team. + Experience working in Medicare , Medicaid, or Commercial Health Insurance. **Preferred Qualifications** + Experience working ... in credentialing operations. + Strong written and verbal communication. **Education** + Bachelor's degree preferred or a combination of professional work experience and education. **Pay Range** The typical pay range for this role is: $67,900.00 - $199,144.00… more
- Cardinal Health (Frankfort, KY)
- …with long- and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial plans while planning for various ... scenarios that may impact the manufacturer's product **TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have… more
- Molina Healthcare (Owensboro, KY)
- …Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports. + Generates other ... provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER, Network Access Fee, etc.).; and mailing label extract generation. + Develops and maintains documentation and guidelines for all… more
- CenterWell (Lexington, KY)
- …in field sales or grassroots marketing; ideally field sales with a focus on senior value-based care models or Medicare Advantage. + In-depth knowledge of ... of industry trends, competitor activities, and emerging opportunities within the senior healthcare market adjusting sales strategies and identify new growth avenues.… more
- Molina Healthcare (Louisville, KY)
- …existing healthcare quality improvement initiatives and education programs supporting Medicare Star Ratings improvement for Clinical HEDIS measures. Responsible for ... of improvement strategies to ensure high level of performance across Medicare Stars clinical HEDIS programs. Leads enterprise partnership discussions and improvement… more
- CenterWell (Louisville, KY)
- …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 340 centers across ... supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in...Medicine preferred + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- CenterWell (Louisville, KY)
- …other providers to form a narrow network of quality service focused on senior population health + Responsible for medical interpretation, reviews, and decisions as ... consumer experiences **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of three to… more
- BrightSpring Health Services (Louisville, KY)
- …Medical Services company, Population Health Management services company, and a Medicare Advantage Institutional Special Needs Plan (I-SNP).Under the direction of the ... While the primary focus of this position will be to support the Medicare Advantage Institutional Special Needs Plan (I-SNP), the Manager will work in collaboration… more
- Humana (Frankfort, KY)
- …Humana's businesses. The team has a strong dotted-line partnership with the Medicare and Medicaid organization, Humana's largest, which comprises over 80% of the ... majority of its earnings. Team members partner with the senior leaders of the business unit, and more broadly...priority strategy projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Consultant, you will… more
- Elevance Health (Louisville, KY)
- …end-to-end claims/ encounter processing, as well as ensuring compliance with Medicare / Medicaid regulatory policies regarding FFS and zero-dollar claims. **How you ... workflows to ensure high quality encounter submissions. + Liaises with senior CareBridge and Elevance Health leadership across Product, Analytics, and Clinical… more